Individual
ASIF JAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 E APPLE ST, SUITE NW3300, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Mailing address
30 E APPLE ST, SUITE NW3300, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.126299
OH
390200000X
Student in an Organized Health Care Education/Training Program
MT201597
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133031
—
OH
Enumeration date
07/30/2012
Last updated
07/25/2015
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